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General NPI Number Information
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NPI Number | 1801205745
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Entity Type | Organization
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Legal Business Name | PROCARE INJURY & REHAB CENTERS LLC
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 1289 S LINDEN RD STE A
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City | FLINT
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State | MI
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Zip | 48532-3499
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Country | US
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Telephone | 810-515-1128
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Fax | 810-407-8009
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Provider Business Mailing Address
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Address Line | 1289 S LINDEN RD STE A
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City | FLINT
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State | MI
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Zip | 48532-3499
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Country | US
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Telephone | 810-515-1128
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Fax | 810-407-8009
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Authorized Official
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Title or Position | MANAGER
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Name | MR. SAM HOSSEIN
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Credential |
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Telephone | 810-515-1128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number |
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License Number State |
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